Provider Demographics
NPI:1891024279
Name:PTS OF WESTCHESTER, INC.
Entity Type:Organization
Organization Name:PTS OF WESTCHESTER, INC.
Other - Org Name:PTS OF MANHATTAN LTHHCP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ASSOCIATE GENERAL COUNSEL
Authorized Official - Prefix:MRS
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLD-WEISS
Authorized Official - Suffix:
Authorized Official - Credentials:RPAC-JD
Authorized Official - Phone:718-468-4747
Mailing Address - Street 1:22215 NORTHERN BLVD
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:BAYSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11361-3603
Mailing Address - Country:US
Mailing Address - Phone:718-468-4747
Mailing Address - Fax:718-736-7236
Practice Address - Street 1:3632 NOSTRAND AVE
Practice Address - Street 2:4TH FLOOR
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-5305
Practice Address - Country:US
Practice Address - Phone:718-375-6111
Practice Address - Fax:718-375-6619
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PTS OF WESTCHESTER, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-12-15
Last Update Date:2016-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY5902608251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY337405Medicare PIN